Individual
DR. BENJAMIN ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6015 SYCAMORE RD, CHEYENNE, WY 82009-4347
(307) 634-3672
Mailing address
6403 KEVIN AVE, CHEYENNE, WY 82009-3548
(307) 214-6008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1534
WY
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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